Individual provider Active NPI

Doris Sophia Li, M.D.

  • Surgery Physician
  • Temple, TX
National Provider Identifier
1053544569
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
T7117 Issued in TX
Practice address
2401 S 31St St
Temple, TX 76508-3081
Phone
(254) 724-2111
NPI assigned
Aug 31, 2009
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A108821 CA
Surgical Critical Care Physician 2086S0102X T7117 TX
Surgery Physician 208600000X T7117 TX Primary

Addresses

Primary practice location

2401 S 31St St
Temple, TX 76508-3081

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111

Other practice location 1

3660 Park Sierra Dr
Suite 105
Riverside, CA 92505-3081
Phone (951) 278-8870

Other practice location 2

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

Other practice location 3

800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 606-7264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170501001241 GU Practitioner - General Surgery 9739226697 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A108821CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hafa Specialist Group LLP CurrentSince Mar 7, 2017 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 1, 2023 Accepting new patients
Guam Memorial Hospital CurrentSince Apr 7, 2017 Accepting new patients
Guam X-Ray CurrentSince Sep 24, 2019 Accepting new patients
Acute Care Surgical Affiliates of Texas PA Surgery CurrentSince Nov 6, 2023 Accepting new patients
Northeast Texas Intensivists, PLLC CurrentSince Apr 1, 2024 Accepting new patients
Tanom Medical PC Surgery Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 1, 2023 Accepting new patients
Guam Memorial Hospital CurrentSince Apr 7, 2017 Accepting new patients
Mission Surgical Center Inc Past Accepting new patients

Locations

280 Pale San Vitores Rd
Tamuning, GU 96913
Phone (671) 647-4542

633 Gov Carlos G Camacho Rd
Ste 210
Tamuning, GU 96913
Phone (671) 649-1001

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555

850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

2101 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

3270 Joe Battle Blvd
Ste 360
El Paso, TX 79938
Phone (915) 538-4400

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

Interoperability endpoints

  • Direct secure messaging: dli1252212@direct.sw.org
  • Direct secure messaging: dli334441@christushealth.direct-ci.net

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1053544569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-724-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765083081",
            "telephone_number": "254-724-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3660 Park Sierra Dr",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925053081",
            "country_code": "US",
            "telephone_number": "951-278-8870",
            "fax_number": "951-278-8913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 S Fleishel Ave",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012041",
            "country_code": "US",
            "telephone_number": "903-606-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 E Dawson St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012036",
            "country_code": "US",
            "telephone_number": "903-606-7264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "DORIS",
        "middle_name": "SOPHIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-31",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A108821",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "TX",
            "license": "T7117",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "T7117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.